Provider Demographics
NPI:1265701809
Name:LIBERMAN, JEFFREY FRANK (PHARM D)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:FRANK
Last Name:LIBERMAN
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1036 US HWY 211 WEST
Mailing Address - Street 2:
Mailing Address - City:LURAY
Mailing Address - State:VA
Mailing Address - Zip Code:22835
Mailing Address - Country:US
Mailing Address - Phone:434-284-2722
Mailing Address - Fax:
Practice Address - Street 1:1036 US HIGHWAY 211 W
Practice Address - Street 2:
Practice Address - City:LURAY
Practice Address - State:VA
Practice Address - Zip Code:22835-5245
Practice Address - Country:US
Practice Address - Phone:540-743-1701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-28
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202004622183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist